Summary
Work History
Education
Skills
Timeline
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Talecia Smith

Forney,USA

Summary

Healthcare Office Administrator seeking a position where I can utilize my professional and recent educational skills. Looking to expand my healthcare skills to promote company growth while providing excellent administrative patient care.

Work History

Benefit Verification Specialist

Cornerstone Staffing (Caremetx)
11.2024 - Current


  • Make outbound calls to various payors to verify member eligibility and medical benefits for specific procedures or treatments of their primary and/or secondary insurance plan.
  • Accurately input coverage information such as deductibles, copays, coinsurance percentages, and out-of-pocket maximums.
  • Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications.
  • Worked under a little to non- supervision and follow insurance guidelines and scripts to complete closing of cases.
  • Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
  • Temporary assignment ending soon


Operations Support Specialist

MultiPlan
08.2023 - 10.2024
  • Non-phone position working with an Excel spreadsheet reviewing and data entry of Medical claims.
  • Created new cases, process adjustments, cloned, and re-enter claims using guided Wikis.
  • Multi-task working between three screens and multiple applications (CEP, Service tracking,FNX)
  • Completed daily goal of 45 claims or more and participated in team meetings and worked new projects.

Customer Service Representative

RemX Staffing (McKesson)
10.2022 - 08.2023
  • Assist patients with enrollment into the McKesson assistance foundation program for expensive drug coverage.
  • Process intake uploading documents within patient profile. Research and create cases using appropriate systems to identify data needed to complete cases.
  • Oversee scheduling for the day-to-day delivery activities, collect copays and updated medications using the ECW software.
  • Educated patients of insurance coverage and explanation of denied or reconsideration letters sent via mail.

Education

Healthcare Office Administration Certificate - Office Administration

The College of Health Care Professionals
Online
12.2022

High School Diploma -

West Mesquite High School
Mesquite
05-2007

Skills

  • HCOA Certified
  • Scheduling and follow-up expertise
  • Advanced in Data entry
  • Customer Care and Resolution
  • Insurance verification
  • Computer Efficiency
  • Claims processing
  • HIPAA compliance
  • Medical Terminology
  • Microsoft office
  • Problem-solving

Timeline

Benefit Verification Specialist

Cornerstone Staffing (Caremetx)
11.2024 - Current

Operations Support Specialist

MultiPlan
08.2023 - 10.2024

Customer Service Representative

RemX Staffing (McKesson)
10.2022 - 08.2023

Healthcare Office Administration Certificate - Office Administration

The College of Health Care Professionals

High School Diploma -

West Mesquite High School
Talecia Smith